|
Set radiation therapy field
|
$1,914.48 |
$1,914.48 |
$1,914.48 |
$1,157.38
|
|
Set radiation therapy field
|
$2,457.36 |
$2,457.36 |
$2,457.36 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$588.96 |
$588.96 |
$588.96 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$6,570.70
|
|
Shoe post-op mens m
|
$30.24 |
$30.24 |
$30.24 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$4,364.64 |
$4,364.64 |
$4,364.64 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,872.88 |
$3,872.88 |
$3,872.88 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,663.36 |
$3,663.36 |
$3,663.36 |
$2,065.05
|
|
Shoulder X-ray
|
$543.60 |
$543.60 |
$543.60 |
$339.50
|
|
Shrinker prosth above knee
|
$134.64 |
$134.64 |
$134.64 |
$168.89
|
|
Shrinker prosth below knee
|
$105.12 |
$105.12 |
$105.12 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$4,636.80
|
|
Sialography s&i
|
$969.84 |
$969.84 |
$969.84 |
$499.20
|
|
Sialolithotomy 42330
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,837.72
|
|
Sickling rbc
|
$218.16 |
$218.16 |
$218.16 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$536.26 |
$536.26 |
$536.26 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$3,403.44 |
$3,403.44 |
$3,403.44 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,496.96 |
$2,496.96 |
$2,496.96 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$2,489.25
|
|
Sirolimus, oral
|
$36.83 |
$36.83 |
$36.83 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$84.96 |
$84.96 |
$84.96 |
$83.85
|
|
Skin Biopsy
|
$625.68 |
$625.68 |
$625.68 |
$360.34
|
|
Skin full graft add-on 15241
|
$605.52 |
$605.52 |
$605.52 |
$675.58
|
|
Sleep study attended
|
$1,852.56 |
$1,852.56 |
$1,852.56 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$5,299.92 |
$5,299.92 |
$5,299.92 |
$3,607.50
|
|
Sleep study unattended
|
$1,270.80 |
$1,270.80 |
$1,270.80 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$116.64 |
$116.64 |
$116.64 |
$30.35
|
|
Sling pelv split sam med
|
$115.92 |
$115.92 |
$115.92 |
$150.00
|
|
Sling suprapubic suburetheral
|
$12,852.00 |
$12,852.00 |
$12,852.00 |
$9,679.96
|
|
Slitting of prepuce
|
$5,798.16 |
$5,798.16 |
$5,798.16 |
$3,365.50
|
|
Slp eval non-spch gen comm dev
|
$1,187.28 |
$1,187.28 |
$1,187.28 |
$285.09
|
|
Slp ther svc non-spch gen
|
$257.76 |
$257.76 |
$257.76 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$100.08 |
$100.08 |
$100.08 |
$64.20
|
|
Smear gram stain
|
$82.08 |
$82.08 |
$82.08 |
$55.25
|
|
Smear nasal eosinophil
|
$62.64 |
$62.64 |
$62.64 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$169.20 |
$169.20 |
$169.20 |
$73.15
|
|
Smear wet mount
|
$95.04 |
$95.04 |
$95.04 |
$67.49
|
|
Sodium 24 hour urine
|
$84.96 |
$84.96 |
$84.96 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.60 |
$21.60 |
$21.60 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$21.60 |
$21.60 |
$21.60 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$26.64 |
$26.64 |
$26.64 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$43.20 |
$43.20 |
$43.20 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$27.48 |
$27.48 |
$27.48 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$35.28 |
$35.28 |
$35.28 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$3.34 |
$3.34 |
$3.34 |
$177.52
|
|
Soft interface below knee se
|
$289.44 |
$289.44 |
$289.44 |
$179.08
|
|
So gsap dna cpy nmbr&mcrstl
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,046.35
|
|
So neo gsap dna/dna&rna
|
$3,767.04 |
$3,767.04 |
$3,767.04 |
$2,989.55
|
|
So vest canvas/web pre ots
|
$289.44 |
$289.44 |
$289.44 |
$256.54
|
|
Special physics consult
|
$2,178.72 |
$2,178.72 |
$2,178.72 |
$725.00
|
|
Special radiation dosimetry
|
$668.16 |
$668.16 |
$668.16 |
$392.50
|
|
Special radiation treatment
|
$3,106.08 |
$3,106.08 |
$3,106.08 |
$1,986.00
|
|
Special teletx port plan
|
$832.32 |
$832.32 |
$832.32 |
$1,086.99
|
|
Specific gravity body fluid
|
$15.12 |
$15.12 |
$15.12 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,333.52 |
$2,333.52 |
$2,333.52 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$584.64 |
$584.64 |
$584.64 |
$543.26
|
|
Splint finger 4 prong foam sm
|
$110.16 |
$110.16 |
$110.16 |
$34.00
|
|
Splint func pos polyflex ii med
|
$15.12 |
$15.12 |
$15.12 |
$58.65
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$7,907.76 |
$7,907.76 |
$7,907.76 |
$4,619.65
|
|
Split blood or products
|
$321.84 |
$321.84 |
$321.84 |
$127.48
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$2,966.40 |
$2,966.40 |
$2,966.40 |
$1,612.78
|
|
Srs linear based
|
$18,442.08 |
$18,442.08 |
$18,442.08 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$797.04 |
$797.04 |
$797.04 |
$297.60
|
|
Staph a dna amp probe
|
$177.84 |
$177.84 |
$177.84 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$385.20 |
$385.20 |
$385.20 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$60,415.20 |
$60,415.20 |
$60,415.20 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$17,820.00 |
$17,820.00 |
$17,820.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$50,148.00 |
$50,148.00 |
$50,148.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$30,252.24 |
$30,252.24 |
$30,252.24 |
$9,008.54
|
|
Stent placemt retro carotid
|
$26,811.36 |
$26,811.36 |
$26,811.36 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$51,522.48 |
$51,522.48 |
$51,522.48 |
$17,271.50
|
|
St evaluate speech sound production
|
$797.04 |
$797.04 |
$797.04 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$797.04 |
$797.04 |
$797.04 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$573.84 |
$573.84 |
$573.84 |
$399.60
|
|
St evaluation swallow function
|
$454.32 |
$454.32 |
$454.32 |
$314.40
|
|
Stimulants synthetic
|
$70.56 |
$70.56 |
$70.56 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$559.44 |
$559.44 |
$559.44 |
$223.45
|
|
Strapping of chest
|
$340.56 |
$340.56 |
$340.56 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$334.08 |
$334.08 |
$334.08 |
$154.70
|
|
Strapping of hand or finger
|
$334.08 |
$334.08 |
$334.08 |
$174.82
|
|
Strapping of hip
|
$323.28 |
$323.28 |
$323.28 |
$164.70
|
|
Strapping of knee
|
$323.28 |
$323.28 |
$323.28 |
$205.20
|
|
Strapping of toes 29550
|
$323.28 |
$323.28 |
$323.28 |
$164.70
|
|
Strep a ag ia
|
$84.96 |
$84.96 |
$84.96 |
$75.40
|
|
Strep a dna quant
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Strep b dna amp probe
|
$202.32 |
$202.32 |
$202.32 |
$120.90
|
|
Stress test pulmonary
|
$511.20 |
$511.20 |
$511.20 |
$322.85
|
|
Str markers specimen anal
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$751.50
|
|
St treatment speech individual
|
$367.20 |
$367.20 |
$367.20 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$324.00 |
$324.00 |
$324.00 |
$240.31
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$970.61
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$24.74 |
$24.74 |
$24.74 |
$52.31
|
|
Sugars multiple quant
|
$554.40 |
$554.40 |
$554.40 |
$44.19
|
|
Sugars single quant
|
$120.96 |
$120.96 |
$120.96 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$7,265.09 |
$7,265.09 |
$7,265.09 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$1.14 |
$1.14 |
$1.14 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$146.88 |
$146.88 |
$146.88 |
$156.16
|
